Arredondo A
Rev Invest Clin. 2001 Sep-Oct;53(5):422-9.
This paper presents the results of a prospective study aimed at identifying financial requirements to provide and finance healthcare services during the period 2001-2003, for high blood pressure and diabetes, the two main chronic diseases demanding healthcare services in Mexico. The study population was drawn from Mexico's three main healthcare institutions: The Ministry of Health (SSA); the Mexican Institute of Social Security (IMSS); and the Institute for Social Security and Services for State Workers (ISSSTE). The costing method was based on instrumentation and consensus techniques per average case management. Six Box-Jenkins probabilistic models were constructed to estimate the epidemiologic change for the period 2001-2003. Study findings suggest that if risk factors and healthcare provision models remain unchanged, the financial consequences would have a greater impact on the Ministry of Health, followed by IMSS and ISSSTE. Financial requirements for both diseases will account for nearly 2% of the total budget allocated to the uninsured, and 3.5% for the insured population. Indirect costs showed a similar trend in the three institutions, representing nearly 23% above total direct costs.
本文介绍了一项前瞻性研究的结果,该研究旨在确定2001年至2003年期间为墨西哥两种需要医疗服务的主要慢性病——高血压和糖尿病提供及资助医疗服务所需的资金。研究人群来自墨西哥的三个主要医疗机构:卫生部(SSA)、墨西哥社会保障局(IMSS)和国家工作人员社会保障与服务研究所(ISSSTE)。成本核算方法基于每个平均病例管理的工具和共识技术。构建了六个Box-Jenkins概率模型来估计2001年至2003年期间的流行病学变化。研究结果表明,如果风险因素和医疗服务提供模式保持不变,财务后果对卫生部的影响将更大,其次是IMSS和ISSSTE。这两种疾病的资金需求将占分配给未参保人群总预算的近2%,占参保人群总预算的3.5%。间接成本在这三个机构中呈现出类似的趋势,比直接成本总额高出近23%。